| NPI | 1205518008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 045556) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2023-08-02 |