| NPI | 1801527023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 053201) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 642748) |
| Enumeration Date | 2022-06-20 |
| Last Update Date | 2025-10-08 |