| NPI | 1497985600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA 009868) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 031597) |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2020-03-03 |