| NPI | 1962692087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 031123-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 490848) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2014-11-05 |