| NPI | 1053868737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 040943) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY P03294) |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2018-02-05 |