| NPI | 1144929175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 62-P120393-01) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2023-02-28 |
| Last Update Date | 2023-02-28 |