| NPI | 1003066531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 62031062) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY PP66003) |
| Enumeration Date | 2008-09-20 |
| Last Update Date | 2009-01-23 |