| NPI | 1528436904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 035388) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 42674) |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2024-09-10 |