| NPI | 1336564665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1215640) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 25882) |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2014-02-24 |