| NPI | 1841953858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 049327) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NY 012416) |
| Enumeration Date | 2021-10-16 |
| Last Update Date | 2022-11-18 |