| NPI | 1699927707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 025274) |
| Additional Taxonomies | 2251S0007X Physical Therapist Sports |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2019-07-31 |