| NPI | 1770034811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 034631) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1217723) |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2016-10-24 |