| NPI | 1073737854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 10173469) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P10973) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2010-11-13 |