| NPI | 1386116887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT36720) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 043851) |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2023-05-08 |