| NPI | 1881156024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 044086) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 27403) |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2022-09-22 |