| NPI | 1588008833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305216327) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 036484-1) |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2024-11-06 |