| NPI | 1750622957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 035687-1) |
| Additional Taxonomies | 2251G0304X Physical Therapist Geriatrics (Licence: NY 035687-1) |
| 2251N0400X Physical Therapist Neurology (Licence: NY 035687-1) | |
| 2251S0007X Physical Therapist Sports (Licence: NY 035687-1) | |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2017-02-15 |