| NPI | 1720061773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 5744-1) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: NY 5744-1) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: NY 5744-1) | |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2008-06-09 |