| NPI | 1336489939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 24381) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 048735) |
| Enumeration Date | 2013-02-20 |
| Last Update Date | 2026-01-28 |