| NPI | 1881030195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT022508) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 034618) |
| 225100000X Physical Therapist (Licence: IL 070019045) | |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2013-05-14 |