| NPI | 1144431388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VT 040-0002639) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 012230) |
| Enumeration Date | 2007-05-26 |
| Last Update Date | 2008-03-18 |