| NPI | 1932713062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 29280) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 046099) |
| Enumeration Date | 2020-09-05 |
| Last Update Date | 2023-07-24 |