| NPI | 1326454406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 037436-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 037436-01) |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2025-04-01 |