| NPI | 1952970436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 10996) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 047614-1) |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2022-10-18 |