| NPI | 1992714570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 13104) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 028392-1) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2011-05-20 |