| NPI | 1780837948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 008689) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 030228-1) |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2013-07-17 |