| NPI | 1437516895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT025078) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 037795) |
| Enumeration Date | 2016-01-15 |
| Last Update Date | 2016-11-29 |