| NPI | 1316343700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC 871673) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1240012) |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2014-11-12 |