| NPI | 1750556395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT36939) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 019284) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2026-05-14 |