| NPI | 1538682976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305212343) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 041687) |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2024-02-11 |