| NPI | 1972900843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 038297) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 62038297) |
| 2251X0800X Physical Therapist, Orthopedic | |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2024-06-10 |