| NPI | 1659765881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 038767) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 21190) |
| 225100000X Physical Therapist (Licence: PA PT024013) | |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2015-03-25 |