| NPI | 1760809263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 036960) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA 022816) |
| Enumeration Date | 2014-03-21 |
| Last Update Date | 2016-06-22 |