| NPI | 1063835494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 26084) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 006017) |
| 225100000X Physical Therapist (Licence: NY 035505) | |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2021-10-19 |