| NPI | 1467170456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT39358) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 049300) |
| Enumeration Date | 2022-08-16 |
| Last Update Date | 2023-03-17 |