| NPI | 1346454832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM 3788) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 011122) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2012-01-24 |