| NPI | 1780377788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 047810) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 050407) |
| Enumeration Date | 2023-05-26 |
| Last Update Date | 2025-06-19 |