| NPI | 1447421714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 010672-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 35344) |
| 2251G0304X Physical Therapist, Geriatrics (Licence: NY 010672-1) | |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2020-01-01 |