| NPI | 1659082030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 308326) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 045782) |
| 225100000X Physical Therapist (Licence: MD 29871) | |
| Enumeration Date | 2022-12-07 |
| Last Update Date | 2025-09-12 |