| NPI | 1932593449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 038458) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 11543) |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2022-07-21 |