| NPI | 1508414673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 044803) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA CP031980T) |
| Enumeration Date | 2019-08-30 |
| Last Update Date | 2024-06-17 |