| NPI | 1952631467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT26109) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 031152) |
| Enumeration Date | 2010-01-05 |
| Last Update Date | 2014-03-28 |