| NPI | 1538413182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 41031) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 035051) |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2014-09-19 |