| NPI | 1376213033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 047460) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| 2251X0800X Physical Therapist, Orthopedic | |
| Enumeration Date | 2021-09-15 |
| Last Update Date | 2021-09-24 |