| NPI | 1851965867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305214561) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 050510) |
| Enumeration Date | 2021-05-14 |
| Last Update Date | 2025-11-03 |