| NPI | 1770130247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 043385) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: NY 043385-1) |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2021-04-26 |