| NPI | 1215159835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1158703) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT016229) |
| 225100000X Physical Therapist (Licence: WV PT002327) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2010-10-29 |