| NPI | 1467837146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 039709) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: 039709) | |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2022-07-21 |