| NPI | 1326529520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT23496) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY PT23496) |
| Enumeration Date | 2018-08-25 |
| Last Update Date | 2024-12-16 |