| NPI | 1447625439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 039014) |
| Additional Taxonomies | 2251E1300X Physical Therapist, Electrophysiology, Clinical |
| 2251X0800X Physical Therapist, Orthopedic | |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2025-09-15 |