| NPI | 1225176845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 23500) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1160400) |
| Enumeration Date | 2007-02-03 |
| Last Update Date | 2007-08-21 |