| NPI | 1013086131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 9028) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 027428-1) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2016-09-19 |