| NPI | 1285084350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: 070-023589) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 040116) |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2023-06-07 |