| NPI | 1982916110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NY 031493) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: PA 018891) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: HI 2846) | |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2010-07-02 |