| NPI | 1497002927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 0037363) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 11440) |
| 225100000X Physical Therapist (Licence: TX 1219861) | |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2018-09-19 |