| NPI | 1023294014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1162586) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 34391) |
| Enumeration Date | 2008-01-21 |
| Last Update Date | 2008-01-21 |