| NPI | 1770255945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 047787) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 15317) |
| Enumeration Date | 2021-10-05 |
| Last Update Date | 2023-10-16 |