| NPI | 1477998276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 27143) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 036115) |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2018-08-14 |