| NPI | 1699314641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 11050) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 045344) |
| Enumeration Date | 2019-12-22 |
| Last Update Date | 2025-03-04 |