| NPI | 1225262504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305207245) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 031122) |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2025-08-06 |