| NPI | 1619289188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NY 031567-1) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 031567-1) |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2021-08-09 |