| NPI | 1760542880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 026393-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305204811) |
| 225100000X Physical Therapist (Licence: RI PT03522) | |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2022-10-11 |