| NPI | 1083264758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 14827) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 044682) |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2025-10-17 |