| NPI | 1023781788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 46799) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 303461) |
| Enumeration Date | 2021-07-28 |
| Last Update Date | 2025-09-22 |