| NPI | 1073759932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1266663) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 35047) |
| 225100000X Physical Therapist (Licence: NC P14294) | |
| Enumeration Date | 2008-12-24 |
| Last Update Date | 2015-09-15 |