| NPI | 1346764396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 048411) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 26589) |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2022-05-10 |