| NPI | 1558319483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 014897) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: NY 014897) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2013-10-16 |