| NPI | 1376163741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 045691) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 15152) |
| Enumeration Date | 2020-04-25 |
| Last Update Date | 2026-03-26 |