| NPI | 1467885137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 62036585) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT30676) |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2025-11-25 |