| NPI | 1902686447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 6764) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 047080) |
| Enumeration Date | 2023-10-03 |
| Last Update Date | 2025-09-19 |