| NPI | 1225713001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 054078) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK 6365) |
| Enumeration Date | 2023-06-19 |
| Last Update Date | 2025-05-27 |