| NPI | 1952319212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 021842-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 0218421) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2025-06-09 |