| NPI | 1659812162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 042681-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 11264) |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2018-03-17 |