| NPI | 1912527524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 045805) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 297139) |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2020-04-23 |