| NPI | 1568788453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 41489) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 030317) |
| Enumeration Date | 2010-04-16 |
| Last Update Date | 2024-07-30 |