| NPI | 1770536328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1225527) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 024847-1) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2015-03-09 |