| NPI | 1427455609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 30318) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 037898) |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2025-04-04 |