| NPI | 1932747839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 039051) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 297829) |
| Enumeration Date | 2019-12-11 |
| Last Update Date | 2019-12-11 |