| NPI | 1801670716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: NY 051126) | |
| Enumeration Date | 2023-08-22 |
| Last Update Date | 2023-11-15 |