| NPI | 1861637845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 24460) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 028952) |
| Enumeration Date | 2008-12-05 |
| Last Update Date | 2008-12-05 |