| NPI | 1104053636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 030985) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 030985-1) |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2019-01-19 |