| NPI | 1245639244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 037116) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: NY 62037116) |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2020-03-16 |