| NPI | 1902487168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NY 012265) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 047762) |
| Enumeration Date | 2021-04-19 |
| Last Update Date | 2021-09-27 |