| NPI | 1871518852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT 12683) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 015961-1) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2007-07-08 |