| NPI | 1871976100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 034827) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: NY 039619) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: NY 039619) | |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2025-11-12 |