| NPI | 1386684447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 024833-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1225747) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2013-01-15 |