| NPI | 1780445619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-034135) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 051734) |
| Enumeration Date | 2024-01-18 |
| Last Update Date | 2025-05-23 |