| NPI | 1558794339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P16695) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 036434) |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2021-10-07 |