| NPI | 1992021638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 026041) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05009836A) |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2010-04-19 |