| NPI | 1659063956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 051568-01) |
| Enumeration Date | 2023-05-24 |
| Last Update Date | 2023-11-14 |