| NPI | 1609164797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT021958) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 034043) |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2012-07-30 |