| NPI | 1972100030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 40298) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 046209) |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2023-07-26 |