| NPI | 1225655467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 048849) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT35752) |
| Enumeration Date | 2020-07-04 |
| Last Update Date | 2023-04-05 |