| NPI | 1558668384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 10193) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 033227) |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2024-09-03 |