| NPI | 1477534949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 10765) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 0270871) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2021-10-18 |