| NPI | 1912093410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 001577-1) |
| Additional Taxonomies | 2251H1300X Physical Therapist, Human Factors (Licence: NY 001577-1) |
| 2251P0200X Physical Therapist, Pediatrics | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-08 |