| NPI | 1871647636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 030277) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 9026) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2008-10-01 |