| NPI | 1699964254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05010278A) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY p61241) |
| 225100000X Physical Therapist (Licence: NY 62 031409) | |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2023-02-10 |