| NPI | 1689953002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 30021) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY PT 0005974) |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2024-09-06 |