| NPI | 1790440014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: NY 026063) |
| Enumeration Date | 2021-11-02 |
| Last Update Date | 2023-01-25 |