| NPI | 1821564683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 16159) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 043661-1) |
| Enumeration Date | 2018-10-19 |
| Last Update Date | 2023-05-24 |