| NPI | 1457505513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251S0007X Physical Therapist, Sports (Licence: NY 010022-1) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: NY 010022-1) |
| 2251G0304X Physical Therapist, Geriatrics (Licence: NY 010022-1) | |
| 2251P0200X Physical Therapist, Pediatrics (Licence: NY 010022-1) | |
| Enumeration Date | 2008-11-15 |
| Last Update Date | 2009-08-05 |