| NPI | 1912196262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NY 35005) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT34110) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2021-01-13 |