| NPI | 1003144155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 032186) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT25935) |
| Enumeration Date | 2009-12-01 |
| Last Update Date | 2013-02-05 |