| NPI | 1316287980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 010499) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 036098) |
| 225100000X Physical Therapist (Licence: IA 091223) | |
| Enumeration Date | 2013-02-19 |
| Last Update Date | 2020-03-01 |