| NPI | 1528043668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 0092541) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 009254-1) |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2022-06-07 |