| NPI | 1447791397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 041313-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 041313) |
| Enumeration Date | 2017-03-12 |
| Last Update Date | 2023-07-03 |