| NPI | 1316287634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 035417-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT022343) |
| 225100000X Physical Therapist (Licence: VA 2305207750) | |
| Enumeration Date | 2013-02-22 |
| Last Update Date | 2013-02-22 |