| NPI | 1104900760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 012746) |
| Additional Taxonomies | 2251H1300X Physical Therapist, Human Factors (Licence: NY 012746) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2019-11-18 |