| NPI | 1174667315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 025396) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 025396-1) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2008-10-09 |