| NPI | 1558940999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT033316) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 047097) |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2025-05-29 |