| NPI | 1235300278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 026196-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 11224) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2008-10-24 |