| NPI | 1417954652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P23775) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 016759) |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2025-08-06 |