| NPI | 1295531390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NY 014727) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NY P134038) |
| Enumeration Date | 2025-02-20 |
| Last Update Date | 2025-04-16 |