| NPI | 1336565076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 014582-1) |
| Additional Taxonomies | 2251C2600X (Licence: NY 014582-1) |
| 2251G0304X Physical Therapist, Geriatrics (Licence: NY 014582-1) | |
| 2251N0400X Physical Therapist, Neurology (Licence: NY 014582-1) | |
| 2251P0200X Physical Therapist, Pediatrics (Licence: NY 014582-1) | |
| 2251S0007X Physical Therapist, Sports (Licence: NY 014582-1) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: NY 014582-1) | |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2022-09-19 |