| NPI | 1083753529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 029093) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 009822) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-11-03 |