| NPI | 1659516656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 011591) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 011591-1) |
| Enumeration Date | 2008-12-05 |
| Last Update Date | 2019-06-11 |