| NPI | 1649794223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 043623) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 293116) |
| 225100000X Physical Therapist (Licence: CT 011386) | |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2021-04-09 |