| NPI | 1265428106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 08543) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 003330) |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2007-07-08 |