| NPI | 1295676716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT44291) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 047471) |
| Enumeration Date | 2026-04-01 |
| Last Update Date | 2026-04-01 |