| NPI | 1689614208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 6884) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 025209) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2015-04-09 |