| NPI | 1851915797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 042479) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NE 4237) |
| Enumeration Date | 2020-06-06 |
| Last Update Date | 2024-07-10 |