| NPI | 1619097094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA 027355-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 027355-1) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2024-09-16 |