| NPI | 1679134449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 046353) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305212999) |
| 2251X0800X Physical Therapist, Orthopedic | |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2021-08-17 |