| NPI | 1922456912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P18152) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 029956) |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2021-08-27 |