| NPI | 1336268697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 023830) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: NY 023830) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-11-29 |