| NPI | 1891029427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 032553) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NY 007180-1) |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2010-03-21 |