| NPI | 1073979688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 039741) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 296149) |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2024-02-20 |