| NPI | 1093977845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist Neurology (Licence: TX 1076065) |
| Additional Taxonomies | 2251G0304X Physical Therapist Geriatrics (Licence: TX 1076065) |
| 2251P0200X Physical Therapist Pediatrics (Licence: TX 1076065) | |
| 2251X0800X Physical Therapist Orthopedic (Licence: TX 1076065) | |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2008-07-01 |