| NPI | 1497051742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: FL PT31108) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 0322001) |
| Enumeration Date | 2011-02-03 |
| Last Update Date | 2025-03-20 |