| NPI | 1134483118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 033796-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT021995) |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2012-06-25 |