| NPI | 1750511606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 24510) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 31598) |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2013-07-15 |