| NPI | 1689613549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NY 005937) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2013-10-11 |