| NPI | 1871651539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 019479) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 198-1) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2007-07-08 |