| NPI | 1154655686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 019392-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 27696) |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2009-09-30 |