| NPI | 1144693722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT024524) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 036998) |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2015-11-04 |