| NPI | 1417198987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 029681) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 34645) |
| 225100000X Physical Therapist (Licence: SC 5866) | |
| Enumeration Date | 2009-03-13 |
| Last Update Date | 2009-03-13 |