| NPI | 1245392737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM 3146) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1166050) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2008-03-06 |