| NPI | 1568839520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 039175-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT024731) |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2021-03-25 |