| NPI | 1588057210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 62-037262) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 3722621) |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2024-11-19 |