| NPI | 1760756241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 35034) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK 4551) |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2012-08-28 |