| NPI | 1891105680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 037063) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1241610) |
| Enumeration Date | 2014-05-01 |
| Last Update Date | 2015-08-19 |