| NPI | 1437175502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 8019) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 027001) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2023-11-06 |