| NPI | 1922148337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY PT 030235) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT 21181) |
| 225100000X Physical Therapist (Licence: NY 22 030235) | |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2011-10-03 |