| NPI | 1750352969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 024203) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 0242031) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2025-08-04 |