| NPI | 1356649586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1200767) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 36939) |
| Enumeration Date | 2011-03-11 |
| Last Update Date | 2012-09-07 |