| NPI | 1013490325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 055068) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305214247) |
| 225100000X Physical Therapist (Licence: IL 070.023902) | |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2026-04-07 |