| NPI | 1407428139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 047048) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 845322) |
| Enumeration Date | 2021-07-13 |
| Last Update Date | 2023-10-26 |