| NPI | 1508346412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 044283) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 295401) |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2021-01-07 |