| NPI | 1891574638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 050872) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 14366) |
| Enumeration Date | 2023-09-21 |
| Last Update Date | 2025-05-05 |