| NPI | 1285968172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 026541-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 026541) |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2018-04-24 |