| NPI | 1477706919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 021220) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 021220-01) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2025-07-07 |