| NPI | 1487773719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 20721) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT41467) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2024-05-07 |