| NPI | 1922302975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 032999-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05010091A) |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2013-06-27 |