| NPI | 1437496122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 026833) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 39044) |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2013-01-15 |