| NPI | 1528400157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 025314) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305204857) |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2024-10-28 |