| NPI | 1780157958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: NY 037741) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 037741) |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2024-06-05 |