| NPI | 1477169902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA 030779) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 046363) |
| 225100000X Physical Therapist (Licence: CA 301019) | |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2022-10-12 |