| NPI | 1457622821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P13590) |
| 225100000X Physical Therapist (Licence: NY 010836-1) | |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2015-05-14 |