| NPI | 1730150236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 0109591) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 0109591) |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2022-05-16 |