| NPI | 1982184636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 297807) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 043472) |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2020-06-08 |