| NPI | 1568981835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 042150) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 007270) |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2026-04-09 |