| NPI | 1194895987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 013917) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 013917) |
| 208100000X Physical Medicine & Rehabilitation (Licence: NY 917913) | |
| 225100000X Physical Therapist | |
| 225100000X Physical Therapist | |
| 2251S0007X Physical Therapist, Sports | |
| 2251X0800X Physical Therapist, Orthopedic | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2023-10-12 |