| NPI | 1497349880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT38844) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 046855) |
| Enumeration Date | 2021-02-25 |
| Last Update Date | 2023-05-04 |