| NPI | 1629141064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 014055) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 014055-1) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2019-12-02 |