| NPI | 1588743835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 015561-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT 15298) |
| 225100000X Physical Therapist (Licence: PA PT0009423L) | |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2007-07-09 |