| NPI | 1730510462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1231039) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 62 035828) |
| Enumeration Date | 2013-12-05 |
| Last Update Date | 2013-12-05 |