| NPI | 1346596038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1220612) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK 4604) |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2012-07-31 |