| NPI | 1184676231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 12928) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: NY 018539-1) |
| 225100000X Physical Therapist (Licence: NY 018539-1) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2026-08-21 |