| NPI | 1992547095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0021086) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 052406-01) |
| Enumeration Date | 2024-06-10 |
| Last Update Date | 2026-06-11 |