| NPI | 1568914182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 038716) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2016-10-31 |