| NPI | 1568802817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 047406-01) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305207281) |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2022-11-23 |