| NPI | 1285612960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 019879) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 19879) |
| 225100000X Physical Therapist | |
| 171100000X Acupuncturist (Licence: NY 007050) | |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2025-12-31 |