| NPI | 1033216783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 024783) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 024783) |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2016-10-11 |