| NPI | 1215075338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 014674-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT36729) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2025-10-16 |