| NPI | 1679518617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 009077-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 9077) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2024-11-25 |