| NPI | 1225352719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 031888-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 41268) |
| Enumeration Date | 2010-03-26 |
| Last Update Date | 2026-07-22 |