| NPI | 1447442850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: PA PT017860) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 037488) |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2014-03-06 |