| NPI | 1427809292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 013279) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: NY 533953) |
| Enumeration Date | 2024-03-29 |
| Last Update Date | 2024-03-29 |