| NPI | 1780010173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 32906) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 036504) |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2022-07-21 |