| NPI | 1093028862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 27425) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY PT 032386-1) |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2019-04-22 |