| NPI | 1326162355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 027431) |
| Additional Taxonomies | 171W00000X Contractor (Licence: NY 027431) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-10-30 |