| NPI | 1174853642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT017012) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1193483) |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2010-01-06 |