| NPI | 1093353815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 039699-1) |
| Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: NY 039699-1) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2019-12-11 |
| Last Update Date | 2022-04-06 |