| NPI | 1225199680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT022545) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 028249-1) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2019-10-31 |