| NPI | 1730735044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 045785) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 34854) |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2020-07-15 |