| NPI | 1205923984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 063172301) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX PT0010525) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2007-07-08 |