| NPI | 1285994616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 25062) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 034937) |
| Enumeration Date | 2012-05-18 |
| Last Update Date | 2016-10-25 |