| NPI | 1295873149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1128783) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00007914) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2008-02-22 |