| NPI | 1952948986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 038074) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 11305) |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2019-12-10 |