| NPI | 1548262199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 020433-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 020433) |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2023-11-13 |