| NPI | 1740525351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 035525) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA 010808) |
| Enumeration Date | 2012-12-07 |
| Last Update Date | 2019-01-22 |