| NPI | 1558972604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 046901) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 12774) |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2024-01-08 |