| NPI | 1013732320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 12965) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 053633) |
| Enumeration Date | 2024-11-21 |
| Last Update Date | 2025-08-28 |