| NPI | 1649390469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 005166) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: 40QA00242300) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2013-03-14 |