| NPI | 1023581345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 053194) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NY 0100551) |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2024-11-21 |