| NPI | 1477142578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NY 009662) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 048574) |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2022-04-11 |