| NPI | 1760514970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 024823-1) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 024823) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2022-12-02 |