| NPI | 1063412831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT CT02654) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY NY2561352) |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2011-12-30 |