| NPI | 1356561088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1164873) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 4634) |
| 225100000X Physical Therapist (Licence: CA 26272) | |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2007-07-08 |