| NPI | 1235269150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1131969) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT11045) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2009-03-04 |