| NPI | 1396022307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT33386) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 034287-1) |
| Enumeration Date | 2011-11-05 |
| Last Update Date | 2025-03-19 |