| NPI | 1194950725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 008277) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 013276) |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2009-05-27 |