| NPI | 1912387481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 24721) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC 871568) |
| 225100000X Physical Therapist (Licence: NY 035479) | |
| Enumeration Date | 2015-05-31 |
| Last Update Date | 2015-05-31 |