| NPI | 1821561317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT34275) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 037197) |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2019-01-07 |