| NPI | 1427267376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 031047-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 22077) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2011-01-07 |