| NPI | 1285213256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 047051) |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2024-07-11 |