| NPI | 1336543743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: NY 011586-1) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
| 225100000X Physical Therapist (Licence: NY 001586) | |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2020-01-01 |