| NPI | 1063887867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1276401) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 039654) |
| Enumeration Date | 2015-12-04 |
| Last Update Date | 2018-11-27 |