| NPI | 1699051409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 034140-1) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 63017099) |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2013-08-20 |