| NPI | 1043842297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 045414-01) |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2024-09-18 |