| NPI | 1043545924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 35185) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: NY 0314411) |
| Enumeration Date | 2009-10-09 |
| Last Update Date | 2014-02-26 |