| NPI | 1144461856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 031036) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 031036) |
| Enumeration Date | 2009-03-11 |
| Last Update Date | 2009-03-11 |