| NPI | 1891200358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VT 040.0134361) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 042625-1) |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2025-02-26 |