| NPI | 1255743969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 015995) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 34413) |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2014-05-29 |