| NPI | 1275294266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 048323) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 030670) |
| Enumeration Date | 2022-01-03 |
| Last Update Date | 2022-02-06 |