| NPI | 1144473299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 004647) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 007597) |
| Enumeration Date | 2008-11-02 |
| Last Update Date | 2008-11-02 |