| NPI | 1457410573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 007696-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 008007) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2019-07-17 |