| NPI | 1467581538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 012456-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 012456) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2023-07-10 |