| NPI | 1225280480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1188400) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2000151774) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2009-10-01 |