| NPI | 1548413719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 015059-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 015059) |
| Enumeration Date | 2008-10-31 |
| Last Update Date | 2021-03-23 |