| NPI | 1588098347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 038957) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 24644) |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2018-12-02 |