| NPI | 1952699084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NY 033815) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 033815) |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2021-01-07 |