| NPI | 1356655351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM 3953) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1197976) |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2012-09-27 |