| NPI | 1619926698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 021601-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT016319) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2007-10-22 |