| NPI | 1346649670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 037906-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 10447) |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2021-02-11 |