| NPI | 1710752399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 14819) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 051672) |
| Enumeration Date | 2023-11-24 |
| Last Update Date | 2025-05-07 |