| NPI | 1164422960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 033471) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: FL PT21854) |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2011-03-15 |