| NPI | 1578032322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 297943) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 042970) |
| Enumeration Date | 2018-11-21 |
| Last Update Date | 2021-05-14 |