| NPI | 1619360708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 038643) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 12595) |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2023-12-22 |