| NPI | 1871906404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI PT-4658) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 037712-1) |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2021-03-26 |