| NPI | 1033973540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P24000) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 052097) |
| Enumeration Date | 2024-02-06 |
| Last Update Date | 2025-05-14 |