| NPI | 1366265126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 052987) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 12570) |
| Enumeration Date | 2024-10-31 |
| Last Update Date | 2024-12-19 |