| NPI | 1366738031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 014294-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 12857) |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2011-06-21 |