| NPI | 1891813580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 11757) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 0283291) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2011-04-19 |