| NPI | 1346614922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NY 66006421) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2015-11-24 |