| NPI | 1972355006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 206227) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 54369) |
| Enumeration Date | 2024-04-02 |
| Last Update Date | 2025-07-31 |