| NPI | 1427231844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 029278) |
| Additional Taxonomies | 171W00000X Contractor (Licence: NY 029278) |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2017-09-12 |