| NPI | 1932554698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 039222) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NY 008294) |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2016-05-02 |