| NPI | 1083154363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 041342-1) |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2019-06-21 |