| NPI | 1952652430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 41141) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 035397) |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2024-02-01 |