| NPI | 1295895415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 006273-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT1931) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2009-09-23 |