| NPI | 1992972871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT015541) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 014213-1) |
| Enumeration Date | 2008-05-10 |
| Last Update Date | 2008-05-10 |