| NPI | 1184834285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1230718) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA07818) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2016-06-27 |