| NPI | 1346370129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NY 028987-1) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1236159) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2014-01-13 |