| NPI | 1952601775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 031269) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 25929) |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2019-12-27 |