| NPI | 1518038512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 028361-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 007925) |
| 225100000X Physical Therapist (Licence: CA 29498) | |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2007-07-08 |