| NPI | 1295394609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NY 005835-01) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NY 9574929) |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2023-11-08 |