| NPI | 1134475841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 036393) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: IN 05010854A) | |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2024-05-24 |