| NPI | 1992337190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 32002) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: NY 035898) |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2022-11-16 |