| NPI | 1972460236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC .13184) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 055348) |
| Enumeration Date | 2026-01-08 |
| Last Update Date | 2026-02-17 |