| NPI | 1598302317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NY 011560) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070026420) |
| Enumeration Date | 2019-12-01 |
| Last Update Date | 2024-12-06 |