| NPI | 1346573862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT31560) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01491300) |
| 225100000X Physical Therapist (Licence: NY 027781-1) | |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2025-09-08 |