| NPI | 1932870060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 047612) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD PENDING) |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2022-09-11 |