| NPI | 1750069035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 050571) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 013817) |
| Enumeration Date | 2023-07-07 |
| Last Update Date | 2023-07-07 |