| NPI | 1417654377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 054477) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT302824) |
| Enumeration Date | 2023-02-10 |
| Last Update Date | 2026-05-13 |