| NPI | 1699907360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 048040) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 8336) |
| 225100000X Physical Therapist (Licence: SC 6030) | |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2022-02-09 |