| NPI | 1689988339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 37011) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 032920) |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2024-08-04 |