| NPI | 1871153049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 007679) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 043721-1) |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2026-01-13 |