| NPI | 1407033368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM 3058) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 029162-1) |
| 225100000X Physical Therapist (Licence: TX 1172446) | |
| 225100000X Physical Therapist (Licence: PA PT020450) | |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2010-11-08 |