| NPI | 1780019349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 036631) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: NY 036631) |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2014-07-29 |