| NPI | 1649490095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 22420) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 21535) |
| 225100000X Physical Therapist (Licence: NY 5529209) | |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2016-06-24 |