| NPI | 1992425722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 41244) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 049147) |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2024-02-12 |