| NPI | 1093836199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 011640-1) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2025-04-28 |