| NPI | 1417240201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NY 038560) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: MA 19502) |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2015-06-15 |