| NPI | 1780962191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NY 0063011) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 0362941) |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2013-07-16 |