| NPI | 1528119484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA 028119) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 020566) |
| 225100000X Physical Therapist (Licence: NM 3323) | |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2023-09-28 |