| NPI | 1699437111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 29520) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 041367-01) |
| Enumeration Date | 2021-10-12 |
| Last Update Date | 2023-11-09 |