| NPI | 1407012115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1225532) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK 4099) |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2018-06-11 |