| NPI | 1316159189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2003000090) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1168013) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2007-07-08 |