| NPI | 1447405709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 010817-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 010817) |
| Enumeration Date | 2008-11-28 |
| Last Update Date | 2011-06-15 |