| NPI | 1275550170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM 4097) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1-7667-7) |
| 225100000X Physical Therapist (Licence: TX 1076677) | |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2015-05-01 |