| NPI | 1083859136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1062487) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: TX 1062487) |
| 2251N0400X Physical Therapist, Neurology (Licence: TX 1062487) | |
| 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1062487) | |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2008-12-03 |