| NPI | 1598028789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT021993) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 034821) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2012-08-28 |