| NPI | 1104013440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 031636) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 9785) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2026-05-08 |