| NPI | 1912654724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 048259) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 04825901) |
| Enumeration Date | 2022-03-02 |
| Last Update Date | 2022-03-02 |