| NPI | 1487382529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 052194) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT030735) |
| Enumeration Date | 2022-08-08 |
| Last Update Date | 2024-10-17 |