| NPI | 1164948139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT40023) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 041970) |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2025-07-29 |