| NPI | 1720722960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 046005) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 301086) |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2022-04-25 |