| NPI | 1215088547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 002315) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 0057134) |
| 2251H1200X Physical Therapist, Hand (Licence: CT 002315) | |
| 2251H1200X Physical Therapist, Hand (Licence: NY 0057134) | |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2008-03-08 |