| NPI | 1578962387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 038050) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 038050) |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2019-02-22 |