| NPI | 1538902879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT43113) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 051665) |
| Enumeration Date | 2024-06-14 |
| Last Update Date | 2025-05-15 |