| NPI | 1558608414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 24368) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 035798) |
| 225200000X Physical Therapy Assistant (Licence: NY 008350) | |
| Enumeration Date | 2013-01-12 |
| Last Update Date | 2013-02-06 |