| NPI | 1851335384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251H1200X Physical Therapist, Hand (Licence: NY 010142-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 003967) |
| 2251H1200X Physical Therapist, Hand (Licence: CT 003967) | |
| 225100000X Physical Therapist (Licence: NY 010142-1) | |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NY 002607-1) | |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: CT 000299) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2016-10-04 |