| NPI | 1467628446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL fl26751) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 012199-1) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2011-09-26 |