| NPI | 1487118139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NY 043746) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 013896-1) |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2021-11-02 |