| NPI | 1578804258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 13320) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 033899) |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2013-03-06 |