| NPI | 1093440919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 051245) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 37491) |
| Enumeration Date | 2022-07-24 |
| Last Update Date | 2023-09-08 |