| NPI | 1821230541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT38499) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 0136331) |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2022-07-11 |