| NPI | 1184845349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NY 62 032904) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 33137) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: NJ 40QA01385100) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2011-05-02 |