| NPI | 1326276429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT020773) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 031514-1) |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2012-06-21 |