| NPI | 1336357458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 11621-024) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 17698) |
| 225100000X Physical Therapist (Licence: NY 028835) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2010-11-22 |