| NPI | 1871898049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NY 021222-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 9063) |
| Enumeration Date | 2011-01-20 |
| Last Update Date | 2011-01-20 |