| NPI | 1811320245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 033275) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 9915) |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2013-12-17 |