| NPI | 1750727566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 24717) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 036029) |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2014-11-14 |