| NPI | 1447060165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NY 015023) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2025-01-14 |
| Last Update Date | 2026-01-16 |