| NPI | 1366528218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 11607) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 0074061) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2024-09-12 |