| NPI | 1811362494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NY 039610-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT302009) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: NY 039610-1) | |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2023-05-12 |