| NPI | 1801339098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 25949) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 038380) |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2026-04-10 |