| NPI | 1629202163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 35563) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 024118) |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2009-05-12 |