| NPI | 1689400327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT032736) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 049023) |
| Enumeration Date | 2024-09-10 |
| Last Update Date | 2024-09-17 |