| NPI | 1275058893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 044340-01) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NY 008504-1) |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2023-06-12 |