| NPI | 1053552786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 027400) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 027400-1) |
| Enumeration Date | 2009-03-09 |
| Last Update Date | 2021-11-09 |