| NPI | 1306262910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 009584) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 9584) |
| 225100000X Physical Therapist (Licence: NY 009584-01) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: NY 009584-1) | |
| Enumeration Date | 2014-03-07 |
| Last Update Date | 2022-09-29 |