| NPI | 1508041369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 030106) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 3302) |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2009-04-21 |