| NPI | 1205671591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 052617) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY P128783) |
| Enumeration Date | 2024-06-27 |
| Last Update Date | 2024-08-12 |