| NPI | 1275967135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1235173) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 08640) |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2013-08-28 |