| NPI | 1003829631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1059384) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 8896) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2012-02-01 |