| NPI | 1942481874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 24698) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 029865) |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2010-11-12 |