| NPI | 1104549377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 053237) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 29569) |
| Enumeration Date | 2022-09-22 |
| Last Update Date | 2025-03-28 |