| NPI | 1144756404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NY 040514-1) |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: NY 040514-1) |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2017-05-05 |