| NPI | 1922424126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 036880) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 16773) |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2014-03-12 |