| NPI | 1770852352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1037802) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 011169-1) |
| Enumeration Date | 2011-12-27 |
| Last Update Date | 2012-06-18 |