| NPI | 1710013891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 62 028687) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 17142) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2009-12-31 |