| NPI | 1275778482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 012143-1) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 003140-1) |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2008-12-03 |