| NPI | 1942559125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 292715) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 62-035520) |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2019-11-07 |