| NPI | 1730206020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 012038) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 010437) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-07-28 |