| NPI | 1790984011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 025469-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 3242) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2015-08-10 |