| NPI | 1366995268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 25556) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 028130) |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2016-07-27 |