| NPI | 1528213162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 014921) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA 018898) |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2013-06-19 |