| NPI | 1528113800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NY 028030) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 28030) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2009-04-30 |