| NPI | 1629191945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 002741) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 020243) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2007-07-08 |