| NPI | 1871062984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NY 043811-1) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: NY 043811) |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2019-08-05 |