| NPI | 1043610082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 038139-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 038-139) |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2018-08-30 |