| NPI | 1326055013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1039527) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA 011055) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2014-01-15 |