| NPI | 1386946879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1201880) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 11045) |
| Enumeration Date | 2010-12-03 |
| Last Update Date | 2010-12-03 |