| NPI | 1861146276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 05032301) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NY 01280001) |
| Enumeration Date | 2022-02-05 |
| Last Update Date | 2023-09-19 |