| NPI | 1285898874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT22813) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 01298-7) |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2008-07-14 |