| NPI | 1619119195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 004156-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 3710) |
| Enumeration Date | 2009-03-31 |
| Last Update Date | 2012-06-01 |