| NPI | 1962533513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 027038-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 520067-1) |
| 225100000X Physical Therapist (Licence: NJ 40QA01164900) | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2007-10-29 |