| NPI | 1669147708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 048181) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT034149) |
| Enumeration Date | 2021-08-11 |
| Last Update Date | 2026-05-11 |