| NPI | 1396229597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: NY 043194) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 043194) |
| 2251P0200X Physical Therapist Pediatrics (Licence: NY 043194) | |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2024-05-20 |