| NPI | 1891401105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 048938) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 048938) |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2023-01-31 |