| NPI | 1821221888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: NY 031727-1) |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2019-01-10 |