| NPI | 1184029092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1083954) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: TX 1083954) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1083954) | |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2014-11-04 |