| NPI | 1881294288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 046825) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SD 2235) |
| 225100000X Physical Therapist (Licence: SC 10362) | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2021-01-21 |