| NPI | 1356601421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1218958) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 3111293) |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2017-04-19 |