| NPI | 1457696221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 62031917) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: NY 41353) |
| 2251N0400X Physical Therapist, Neurology (Licence: UT 8820640-2401) | |
| Enumeration Date | 2012-12-05 |
| Last Update Date | 2016-01-21 |