| NPI | 1083721963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX TX1166408) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2016-11-22 |