| NPI | 1760895122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NY 027811) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 027811) |
| 2251G0304X Physical Therapist, Geriatrics (Licence: NY 027811) | |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2023-09-26 |