| NPI | 1235323155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 0247001) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 33788) |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2007-09-04 |