| NPI | 1881265213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 050144) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY P110526) |
| Enumeration Date | 2021-07-07 |
| Last Update Date | 2023-02-28 |