| NPI | 1598951774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT021044) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PT021044) |
| 225100000X Physical Therapist (Licence: NY 027159) | |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2025-12-03 |