| NPI | 1316192404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 016556-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT7879) |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2008-11-18 |