| NPI | 1497054381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 033477) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 007170) |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2022-08-08 |