| NPI | 1689719726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 026388-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 026388) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-24 |