| NPI | 1871194514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 046239) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 007845) |
| Enumeration Date | 2020-11-07 |
| Last Update Date | 2026-01-29 |