| NPI | 1710450606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 043748) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 9429) |
| 225100000X Physical Therapist (Licence: TX 1313495) | |
| 225100000X Physical Therapist (Licence: NC 18459) | |
| 225100000X Physical Therapist (Licence: FL 34271) | |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2019-01-03 |