| NPI | 1033145131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX PT LICENSE #1074177) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX 1074177) |
| 225100000X Physical Therapist (Licence: TX 1074177) | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2011-06-23 |