| NPI | 1821385022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 038604-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT871207) |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2015-04-23 |