| NPI | 1427317171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 029688-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 0296881) |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2023-10-04 |