| NPI | 1578255493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 051310) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 304083) |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2024-01-15 |