| NPI | 1972361376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 41353) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 051069) |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2024-03-11 |