| NPI | 1407975931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 25319) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1056000) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2015-10-05 |