| NPI | 1912492703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 27724) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 031955-1) |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2020-05-28 |