| NPI | 1740897008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 046313) |
| Additional Taxonomies | 2081P0010X Physical Medicine & Rehabilitation Pediatric Rehabilitation Medicine (Licence: NY 046313) |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2021-10-11 |