| NPI | 1598259277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 048377) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05012936A) |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2022-08-10 |