| NPI | 1568182004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 051270) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305215333) |
| Enumeration Date | 2022-09-02 |
| Last Update Date | 2023-09-15 |