| NPI | 1083470868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA CP048435T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 049032) |
| Enumeration Date | 2024-02-28 |
| Last Update Date | 2025-10-21 |