| NPI | 1205081098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 028571) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: NY 62028571) |
| Enumeration Date | 2008-11-21 |
| Last Update Date | 2010-09-28 |