| NPI | 1376816272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2012005901) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1214826) |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2012-02-23 |