| NPI | 1760479026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 023212) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: 023212 1) |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2023-09-29 |