| NPI | 1295991404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 014742) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 023327-1) |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2022-03-24 |