| NPI | 1427201029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 0113231) |
| Additional Taxonomies | 2080P0008X Pediatrics Neurodevelopmental Disabilities (Licence: NY 0113231) |
| 2251G0304X Physical Therapist Geriatrics (Licence: NY 0113231) | |
| 2251P0200X Physical Therapist Pediatrics (Licence: NY 0113231) | |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2023-05-15 |