| NPI | 1295886349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1187030) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 21440) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2009-10-05 |