| NPI | 1871803080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305207935) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 032887-1) |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2020-06-19 |