| NPI | 1467958637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT028159) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 041839-1) |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2023-05-23 |