| NPI | 1659625093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 035768) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: CT 11454) | |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2023-12-19 |