| NPI | 1730955964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA 032898) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 051600) |
| Enumeration Date | 2023-11-29 |
| Last Update Date | 2025-10-03 |