| NPI | 1740909704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 049659) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 117294) |
| Enumeration Date | 2022-08-24 |
| Last Update Date | 2023-04-04 |