| NPI | 1992996672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 02389) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 023839) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2009-03-03 |