| NPI | 1730426750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 27926) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 035940) |
| Enumeration Date | 2013-01-10 |
| Last Update Date | 2024-08-20 |