| NPI | 1013636711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT43731) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: NY 049155) |
| Enumeration Date | 2022-08-25 |
| Last Update Date | 2025-10-02 |