| NPI | 1184719106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT018421) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 030358) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2012-06-26 |