| NPI | 1730416157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 031021-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA 020295) |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2016-12-09 |