| NPI | 1659705630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 044039) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 24572) |
| 225100000X Physical Therapist (Licence: WV 003612) | |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2019-02-06 |