| NPI | 1982775169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI 2631) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 11261) |
| 225100000X Physical Therapist (Licence: NY 024577) | |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2007-11-15 |