| NPI | 1720220411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 030404) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 8456) |
| 225100000X Physical Therapist (Licence: TX 1183658) | |
| Enumeration Date | 2009-03-27 |
| Last Update Date | 2010-01-22 |