| NPI | 1487416418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 033383) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 05413901) |
| Enumeration Date | 2024-01-25 |
| Last Update Date | 2026-08-04 |