| NPI | 1851732465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 050499) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.019942) |
| 225100000X Physical Therapist (Licence: GA PT013345) | |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2024-04-17 |