| NPI | 1982952321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 031282) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 6872) |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2019-12-12 |