| NPI | 1316746605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT33491) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 029637) |
| 225100000X Physical Therapist (Licence: CT 8260) | |
| Enumeration Date | 2025-03-10 |
| Last Update Date | 2025-03-10 |