| NPI | 1528235124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 029133) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT019618) |
| 225100000X Physical Therapist (Licence: FL PT24376) | |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2013-08-09 |