| NPI | 1902305519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 297484) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 042804) |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2019-12-06 |