| NPI | 1295085132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1187529) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN PT0000006352) |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2012-09-18 |