| NPI | 1548599780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 031460) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 031460-1) |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2021-04-27 |