| NPI | 1760825608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 008682-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 007466) |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2021-02-18 |