| NPI | 1053625707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 030647) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 23223) |
| 225100000X Physical Therapist (Licence: TX 1182928) | |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2010-08-04 |