| NPI | 1689021909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 10109) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 037518) |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2016-05-17 |