| NPI | 1497126429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VT 040.0132288) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 039016) |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2020-06-10 |