| NPI | 1124450838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 29963) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 035452) |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2025-03-23 |