| NPI | 1235540634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 39972) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1199076) |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2014-05-19 |