| NPI | 1871890327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 032646-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.012709) |
| 225100000X Physical Therapist (Licence: PA 0011080L) | |
| 225100000X Physical Therapist (Licence: CA PT 25143) | |
| Enumeration Date | 2011-02-18 |
| Last Update Date | 2014-04-21 |