| NPI | 1487797395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 27985) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 022294-1) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2023-10-27 |