| NPI | 1033819024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 048333) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 12962) |
| 225100000X Physical Therapist (Licence: WI 15938-24) | |
| Enumeration Date | 2023-03-07 |
| Last Update Date | 2023-03-07 |