| NPI | 1750552618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 62035271) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 003052-1) |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2012-09-18 |