| NPI | 1841080157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NY 014738-01) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 014738-01) |
| 225100000X Physical Therapist (Licence: 014738-01) | |
| Enumeration Date | 2025-05-09 |
| Last Update Date | 2025-05-09 |