| NPI | 1184981094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 034061) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 62034061) |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2021-11-18 |