| NPI | 1447972427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 035157-01) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: NY 035157) | |
| Enumeration Date | 2022-09-15 |
| Last Update Date | 2023-06-20 |