| NPI | 1033353073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 031295-1) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: NY CNS16331) |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NY 200733422) | |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2016-05-17 |