| NPI | 1407039282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 029917) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 008233) |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2007-12-14 |