| NPI | 1205917994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 0233551) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2014-05-15 |