| NPI | 1750991030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT38662) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 045902) |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2022-07-08 |