| NPI | 1225287014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT30821) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 009140-1) |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2024-06-26 |