| NPI | 1497424915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 047634) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT030352) |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2023-10-19 |