| NPI | 1114200110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305213425) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 033865) |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2025-07-29 |