| NPI | 1396989406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 031229-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 7642) |
| 225100000X Physical Therapist (Licence: NC P15222) | |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2015-03-27 |