| NPI | 1720352479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 034492) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 009315) |
| Enumeration Date | 2012-02-28 |
| Last Update Date | 2012-02-28 |