| NPI | 1073234977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: FL 14067) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 049280) |
| Enumeration Date | 2022-09-08 |
| Last Update Date | 2023-12-18 |