| NPI | 1740617091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P20125) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 036474) |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2021-10-26 |