| NPI | 1225808975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 51795) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 051795) |
| Enumeration Date | 2024-01-04 |
| Last Update Date | 2025-04-23 |