| NPI | 1184979015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1231322) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305207519) |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2013-09-18 |