| NPI | 1215922158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 29141) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1137164) |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2007-07-08 |