| NPI | 1710393939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 021471) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 21471) |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2023-07-17 |