| NPI | 1376756759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA 2855) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1170313) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2011-03-12 |