| NPI | 1952357683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 5693) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 023471-1) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2007-07-08 |