| NPI | 1730685140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 12063) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J1-0003775) |
| 225100000X Physical Therapist (Licence: NY 042228) | |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2018-12-21 |