| NPI | 1235511262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 25899) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 038877) |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2016-10-12 |