| NPI | 1285970111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1212369) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 009376) |
| Enumeration Date | 2012-12-21 |
| Last Update Date | 2016-12-16 |