| NPI | 1619197589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 008844) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 62 025334) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2016-03-16 |