| NPI | 1245553668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 35513) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 018420) |
| Enumeration Date | 2010-03-12 |
| Last Update Date | 2010-03-12 |