| NPI | 1518140631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT29096) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 29839) |
| 225100000X Physical Therapist (Licence: CT 13177) | |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2021-12-21 |