| NPI | 1942503115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PT60221941) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 033344) |
| Enumeration Date | 2010-12-10 |
| Last Update Date | 2014-06-27 |