| NPI | 1780362467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 13874) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 05060101) |
| Enumeration Date | 2023-07-11 |
| Last Update Date | 2023-09-27 |