| NPI | 1033439567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 032678) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 004574) |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2010-06-07 |