| NPI | 1548380793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT016321) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA 016321) |
| 225100000X Physical Therapist (Licence: NY 018514-1) | |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2021-08-01 |