| NPI | 1801104989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SD 0571) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 013333) |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2010-09-22 |