| NPI | 1689101891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 13192) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 041579) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: CT 13192) | |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2022-11-29 |