| NPI | 1275892085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1281468) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 07782) |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2016-09-19 |