| NPI | 1982435913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 052622) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 014291) |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2024-10-08 |