| NPI | 1073958518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 28132) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 62 - 035089) |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2013-05-09 |