| NPI | 1982893541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 031405) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY p60989) |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2016-12-28 |