| NPI | 1558752600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NY 62035207) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CO PTL.0012581) |
| 363AM0700X Physician Assistant, Medical (Licence: NY 35207) | |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2023-07-17 |