| NPI | 1477389815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WY PT-2477) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 050102) |
| Enumeration Date | 2024-09-11 |
| Last Update Date | 2025-09-08 |