| NPI | 1326134370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 029543) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 10710) |
| 225100000X Physical Therapist (Licence: NY 0294531) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2008-04-01 |