| NPI | 1265749931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 26252) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1198257) |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2013-03-29 |