| NPI | 1033587423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 029877) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 029877-1) |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2021-04-08 |