| NPI | 1770742017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NY 028882-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 028882-1) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2020-01-06 |