| NPI | 1295057222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 008415) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 22941) |
| 225100000X Physical Therapist (Licence: NY 011081-1) | |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2011-01-16 |