| NPI | 1417079278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 043582) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 11024) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2018-11-08 |