| NPI | 1912273723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 025067-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 11086) |
| 225700000X Massage Therapist (Licence: NY 005540-1) | |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2012-03-26 |