| NPI | 1235476383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05011016A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 035802) |
| Enumeration Date | 2013-01-09 |
| Last Update Date | 2013-01-09 |