| NPI | 1053433771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 0000006956) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MS PT3688) |
| 225100000X Physical Therapist (Licence: NY 005527) | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2007-07-08 |