| NPI | 1538030382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT44317) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 054673-01) |
| Enumeration Date | 2025-09-15 |
| Last Update Date | 2026-01-28 |