| NPI | 1932177722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA 012237L) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 026781) |
| 225100000X Physical Therapist (Licence: MA 11585) | |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2007-07-08 |