| NPI | 1497854046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TN 16787) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 004920) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2025-11-20 |