| NPI | 1689908907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 030948-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 030948-01) |
| Enumeration Date | 2009-09-21 |
| Last Update Date | 2025-07-01 |