| NPI | 1518333111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 011299) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 039197-1) |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2018-11-12 |