| NPI | 1043423387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 022478-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 022478) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-03-04 |