| NPI | 1235297797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT 29119) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 026440-1) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2014-05-01 |