| NPI | 1609413814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 30616) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 045094) |
| Enumeration Date | 2019-12-06 |
| Last Update Date | 2026-03-16 |