| NPI | 1881095982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 62038873) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CA AT10503) |
| 225200000X Physical Therapy Assistant (Licence: NY 009268) | |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2015-10-07 |