| NPI | 1003009036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 005612) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 29811) |
| 225100000X Physical Therapist (Licence: TX 1269600) | |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2016-10-12 |