| NPI | 1447025515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 051837) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05014995A) |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2024-04-10 |