| NPI | 1003040791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 27370) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 030112) |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2025-01-22 |