| NPI | 1992913768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 6309216-2401) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 62023537) |
| 225100000X Physical Therapist (Licence: CA 28356) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2007-07-08 |