| NPI | 1801080395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 025218) |
| Additional Taxonomies | 2251E1300X Physical Therapist, Electrophysiology, Clinical (Licence: NY 025218) |
| 2251N0400X Physical Therapist, Neurology (Licence: NY 025218) | |
| 2251P0200X Physical Therapist, Pediatrics (Licence: NY 025218) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: NY 025218) | |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2008-12-23 |