| NPI | 1427295559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1158248) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: HI 2956) |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2010-04-26 |