| NPI | 1053924712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 046272) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 305465) |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2026-03-13 |