| NPI | 1194971168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 62022238) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 022238) |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2018-05-02 |