| NPI | 1588903579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 26896) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 036075) |
| Enumeration Date | 2013-02-11 |
| Last Update Date | 2018-04-17 |