| NPI | 1003394925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 046980) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 27107) |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2024-09-26 |