| NPI | 1609275072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 045022) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT023761) |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2020-01-02 |