| NPI | 1740705300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT33108) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 041684) |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2019-05-22 |