| NPI | 1396349585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P24369) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 046644) |
| Enumeration Date | 2020-11-28 |
| Last Update Date | 2025-11-04 |