| NPI | 1033429139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA 015201) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 025035) |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2021-08-31 |