| NPI | 1831724962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NY 035395) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: NY 351049) |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2020-03-09 |