| NPI | 1982375358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 047491) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P23923) |
| Enumeration Date | 2021-09-24 |
| Last Update Date | 2025-04-10 |