| NPI | 1689116170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 25419) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 038724) |
| 225100000X Physical Therapist (Licence: TX 1283131) | |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2016-11-15 |