| NPI | 1720602030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 042676) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 12460) |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2021-04-22 |