| NPI | 1386917599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT 27139) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 033168) |
| Enumeration Date | 2012-02-17 |
| Last Update Date | 2012-02-17 |