| NPI | 1306504683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 048678) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY P113236) |
| Enumeration Date | 2021-12-03 |
| Last Update Date | 2024-05-08 |