| NPI | 1326310434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 034233) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1214117) |
| Enumeration Date | 2012-02-04 |
| Last Update Date | 2012-02-04 |