| NPI | 1578930525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05012787A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 039111) |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2021-04-06 |