| NPI | 1699971663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 020770-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 020770-1) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2007-09-22 |