| NPI | 1205902012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 031094-01) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: UT 61304332401) |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2025-06-29 |