| NPI | 1356784045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 036199) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 6942) |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2013-04-11 |