| NPI | 1992876809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 27225) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 004004) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2007-07-08 |