| NPI | 1568902658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 044069) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 12894) |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2019-06-19 |