| NPI | 1861698367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 018093) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 018093-01) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2025-04-12 |