| NPI | 1023443470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 036722-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 29316) |
| 225100000X Physical Therapist (Licence: NC P14529) | |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2014-09-30 |