| NPI | 1740420397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 4181) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 030085-1) |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2018-05-17 |