| NPI | 1013967256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1051456) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 1429-24) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2015-01-16 |