| NPI | 1326710450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NY 047516) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: NY 04751601) |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2024-03-14 |