| NPI | 1821321886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 3502) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 032109) |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2010-01-10 |