| NPI | 1477791382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 025157) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 35065) |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2009-01-30 |