| NPI | 1487170494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 293525) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 042118) |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2017-08-22 |