| NPI | 1578865820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NY 032946) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 32946) |
| Enumeration Date | 2010-11-18 |
| Last Update Date | 2023-07-17 |