| NPI | 1922347236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305209291) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 035796) |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2024-05-16 |