| NPI | 1225002678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1179238) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 0000005000) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2009-11-11 |