| NPI | 1124145867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1195950) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK PT 3038) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2010-06-23 |