| NPI | 1952587248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 009077) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 022558) |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2011-09-27 |