| NPI | 1194947606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 009288) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 012753-1) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2016-04-25 |