| NPI | 1669419974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT38981) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 018254) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2023-11-03 |