| NPI | 1578347415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 30178) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 050435) |
| Enumeration Date | 2023-08-22 |
| Last Update Date | 2024-12-10 |