| NPI | 1598943599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN PT8763) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 030040-1) |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2010-09-16 |