| NPI | 1588057749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 037803-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1251068) |
| 225100000X Physical Therapist (Licence: CA 292223) | |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2016-11-08 |