| NPI | 1174978613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 038910) |
| Additional Taxonomies | 2251H1300X Physical Therapist, Human Factors (Licence: NY 038910) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: NY 038910) | |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2016-05-03 |