| NPI | 1417688599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 5260) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 054531) |
| 225100000X Physical Therapist (Licence: WV 004519) | |
| Enumeration Date | 2022-06-21 |
| Last Update Date | 2025-09-11 |