| NPI | 1083042295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1231490) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 028595) |
| Enumeration Date | 2013-10-25 |
| Last Update Date | 2013-10-31 |