| NPI | 1952380321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 40324) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 027175-1) |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2025-08-08 |