| NPI | 1891464129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: 047645) |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: NY 047645) |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2021-09-09 |