| NPI | 1881070555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251S0007X Physical Therapist, Sports (Licence: NY P98254) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: NY P98254) |
| 225100000X Physical Therapist (Licence: NY 039738) | |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2016-03-30 |