| NPI | 1568010353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT42371) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 044801) |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2024-10-31 |