| NPI | 1417905167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 6226734) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 0267341) |
| 225100000X Physical Therapist (Licence: CA 38172) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2014-06-20 |