| NPI | 1538682117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P18778) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: NY 041774-1) | |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2022-04-05 |