| NPI | 1457516577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 030071-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1110435) |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2015-02-17 |