| NPI | 1730439324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI 4590) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 034675-1) |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2018-10-18 |