| NPI | 1568687572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 007948) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 4717) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2016-06-14 |