| NPI | 1639143563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 030093) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT28249) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2018-06-22 |