| NPI | 1275303836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT41175) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: MD 30170) | |
| 225100000X Physical Therapist (Licence: NY 050549-01) | |
| Enumeration Date | 2024-01-04 |
| Last Update Date | 2025-01-22 |