| NPI | 1205476025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 043342) |
| Additional Taxonomies | 2251N0400X Physical Therapist Neurology |
| 225100000X Physical Therapist (Licence: NM 043342) | |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2020-01-09 |